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Group and Individual Change in the Treatment of Drug Addictions: A Follow-up Study in Therapeutic Communities

Published online by Cambridge University Press:  10 January 2013

José Javier López-Goñi ,
Javier Fernández-Montalvo ,
Juan Carlos Menéndez ,
Fausto Yudego ,
Angel Rico García  and
Sonia Esarte
José Javier López-Goñi*
Affiliation:
Universidad Pública de Navarra (Spain)
Javier Fernández-Montalvo
Affiliation:
Universidad Pública de Navarra (Spain)
Juan Carlos Menéndez
Affiliation:
Fundación Centro Español Solidaridad Principado de Asturias (Spain)
Fausto Yudego
Affiliation:
Fundación Proyecto Hombre de Navarra (Spain)
Angel Rico García
Affiliation:
Fundación Centro Español Solidaridad Principado de Asturias (Spain)
Sonia Esarte
Affiliation:
Fundación Proyecto Hombre de Navarra (Spain)
*
Correspondence concerning this article should be addressed to José Javier López-Goñi. Departamento de Psicología y Pedagogía Universidad Pública de Navarra. 31006 Pamplona. (Spain). Phone: +34-948169857. Fax: +34-948169891. E-mail: josejavier.lopez@unavarra.es
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Abstract

The pre-post treatment change of 112 patients in two therapeutics Spanish communities is described. The Addiction Severity Index (ASI) was used at intake and at the end of the treatment program. Results of the treatment program were evaluated by applying composite scores (CS) of the ASI, and the evolution of each patient was evaluated using the Reliable Change Index (RCI). 69.7% of the sample completed treatment, and 30.3% dropped out prematurely. At intake, the percentage of people who could improve in the different areas of the ASI ranged between 35.1% for alcohol consumption and 95.3% for family relationships. At the follow-up, the percentage of subjects who showed significant statistical improvements in the different areas varied between 7.9% in family relations and 66.7% in alcohol consumption. The percentage of patients who deteriorated was less than 10% for all variables. Implications for further research and clinical practice are commented upon.

En este artículo se describe la evolución pre-post tratamiento de una muestra de 112 pacientes atendidos en dos comunidades terapéuticas españolas. La evaluación de la muestra se llevó a cabo con el Addiction Severity Index (ASI) tanto al inicio como a la finalización del tratamiento. En el análisis de los resultados del tratamiento se utilizaron las puntuaciones compuestas del ASI, y la evolución de cada paciente se valoró con el Índice de Cambio Fiable (ICF). El 69,7% de la muestra finalizó el programa de tratamiento, y el 30,3% lo abandonó. En el momento del ingreso, el porcentaje de personas que necesitaba tratamiento en cada área del ASI variaba entre el 35,1% en el consumo de alcohol y el 95,3% en las relaciones familiares. En el seguimiento, el porcentaje de sujetos que mostraba mejorías estadísticamente significativas variaba entre el 7,9% en el área familiar y el 66,7% en el consumo de alcohol. El porcentaje de sujetos que empeoraba era menor del 10% en todas las áreas. Se discuten las implicaciones de estos resultados tanto para posteriores investigaciones como para la práctica clínica.

Keywords

addictionstherapeutic communitysecondary outcomesfollow-upadiccionescomunidad terapéuticabeneficios secundariosseguimiento
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 13 , Issue 2 , November 2010 , pp. 906 - 913
Copyright
Copyright © Cambridge University Press 2010

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